Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Nelson Moore, PMHNP-BC, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710479753

Kevin Nelson Moore, PMHNP-BC, APRN is a Psychiatric/Mental Health Nurse Practitioner in Bloomington, Indiana. Works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2018
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

501 S Madison St Ste 105
Bloomington, IN 47403-2452
Phone: (812) 340-5447
Fax: (888) 789-8394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 550 S Adams St, Bloomington, IN 47403 — (812) 333-6324
  • 1531 13th St Ste 2520, Columbus, IN 47201-1312 — (812) 376-6501

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71008478A (IN)

Record details

NPI number1710479753
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC , APRN
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 3, 2021

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